Measuring outcomes of real-world youth psychotherapy: Whom to ask and what to ask?

Measuring outcomes of real-world youth psychotherapy: Whom to ask and what to ask?
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DOI:
10.1176/appi.ps.57.10.1373
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发表时间:
2006-10-01
影响因子:
3.8
通讯作者:
Garland, Ann F.
Garland, Ann F.
中科院分区:
医学3区
文献类型:
--
作者:
Brookman-Frazee, Lauren;Haine, Rachel A.;Garland, Ann F.

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为了说明接受社区精神卫生服务的青少年的结果测量的复杂性,本专栏提供了112名接受公共资助的日常护理心理治疗的青少年的数据。青少年和他们的父母分别完成了三个领域的标准措施的结果-症状,功能,和家庭环境-在基线和六个月。结果表明,青少年和家长之间的个别结果域和几乎没有重叠的每个线人(青年和家长)在多个领域的协议。这些调查结果特别重要,因为越来越多的人要求服务提供者证明治疗的有效性并监测青少年的进步。结果突出了衡量护理影响的复杂性,并表明需要制定更可行的方法来衡量多方面的成果。
To illustrate complexities in outcomes measurement for youths receiving community-based mental health services, this column presents data on 112 youths in publicly funded, usual-care psychotherapy. Youths and their parents separately completed standard measures of outcomes in three domains-symptoms, functioning, and family environment-at baseline and at six months. The results indicate minimal agreement between youths and parents on individual outcome domains and almost no overlap for each informant (youth and parent) across multiple domains. These findings are especially relevant because service providers are increasingly required to demonstrate treatment effectiveness and monitor youths' progress. The results highlight the complexities in measuring the impact of care and indicate the need to develop more feasible methods to measure multidimensional outcomes.